Center for Ear,Nose and Throat PC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

5101010029 Issued in MI

Legal business name

CENTER FOR EAR,NOSE AND THROAT PC

Practice address

2300 Haggerty Road
Suite 2130
West Bloomfield, MI 48323

Phone

(248) 668-1104

Fax

(248) 668-1096

NPI assigned

Jun 17, 2006

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Joe Kin, DONPI 1427037282

Title

Owner/Physician

Phone

(248) 668-1104

Specialties & licenses 1

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Joe Kin, D.O.

  • Otolaryngic Allergy Physician
  • West Bloomfield, MI
  • NPI 1427037282
  Medicare reassignment Authorized official
• Shelley A Nepa, D.O.

  • Physical Medicine & Rehabilitation Physician
  • West Bloomfield, MI
  • NPI 1578568895
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1083659932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232191",
            "telephone_number": "248-668-1104",
            "fax_number": "248-668-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY ROAD",
            "address_2": "SUITE 2130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48323",
            "telephone_number": "248-668-1104",
            "fax_number": "248-668-1096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Haggerty Road",
            "address_2": "Suite 2130",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "48323",
            "country_code": "US",
            "telephone_number": "248-668-1104",
            "fax_number": "248-668-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR EAR,NOSE AND THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "KIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-668-1104",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": "5101010029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "107796",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE",
            "identifier": "2886",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "040F338670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "F31235",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040015528",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "101058",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC BCN",
            "identifier": "0456336254",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "1009579",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "12043",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4100372",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "82908",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "040F338670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4233036",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "B9900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Gay Cascardo, PHYSICAL THERAPIST
• Sarah Casenhiser
• Carol Casolari, PT
• Natasha Castelvetere, LMSW
• Anna Cedoz, CCC-SLP
• Center for Emotional Success, PLLC
• Maja Cerimagic, RN, IBCLC
• Elizabeth Cerulli, SP
• Aaron Stuart Cetner, M.D.
• Emily Lynn Cetner, D.O.

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.